This anterior capsular plaque makes the capsulorhexis creation more challenging. The capsule will not tear predictably in the region of this opacity and even the stellate arms have fibrotic changes which will impede the capsulorhexis tear.
The solution is to make a larger capsulorhexis and fully encompass this opacity. In this case, the anterior capsule flap then splits and that must be addressed to successfully complete the capsulorhexis.
Click below to learn how to deal with this challenge and complete the capsulorhexis: